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International Journal of AYUSH; 2020: 9 (4); 181-193
181 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Original Research Article Volume 9 Issue 4 Oct – Dec 2020
ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA
PATALAGATA TIMIRA (SIMPLE MYOPIA)
Divya Stuvert1 and Ashwini.M.J2
1. Associate Professor, Department of Shalakya Tantra, S.D.M Institute of Ayurveda
and Hospital, Bangalore, [email protected], Ph:9481028050
2. Professor and Head, Department of Shalakya Tantra, S.D.M college of Ayurveda and
Hospital, Hassan, [email protected], Ph: 9448222694
Abstract
Myopia, commonly referred to as short sightedness is the most common eye disease
in the world with substantial social, educational, and economic impact. Poor vision for
distance - short-sightedness is the main symptom of myopia. Timira is one among
Dristhigata Rogas, which starts from Avyakta Darshana and ends in complete loss of vision
Linganasha. Abhijita Taila Nasya helps in clearing the eyesight and alleviates Timira. This
Taila has been suggested by the great Sage Nimi in Timira stating that it restores vision
even to the blind. Therefore this study was planned to evaluate the effect of Abhijita Taila
Nasya in Prathama Patalagata Timira with special reference to Simple Myopia.
Key Words: Timira, Nasya, Prathama Patala, Myopia, Taila.
International Journal of AYUSH; 2020: 9 (4); 181-193
182 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Introduction
Myopia or short sightedness is a type of refractive error in which parallel rays of light
coming from infinity are focused in front of the retina when accommodation is at rest. 1 The
World Health Organization has grouped Myopia and uncorrected refractive error, cataract,
macular degeneration, infectious diseases and vitamin A deficiency as the leading causes of
blindness and vision impairment in the world. The prevalence of Myopia varies with age
and other factors. In India prevalence of Myopia in general population has been reported to
be only 6.9%. The prevalence has increased in rural India from 4.6% in 1980–2008 to 6.8%
in 2009–2019, compared to a change from 7.9% to 8.9% in urban India during the same
period. Our results show that there is an increasing trend of myopia in India over the last
four decades2.
Ayurveda has identified three important factors viz Asatmya Indriyartha Samyoga,
Pragnyaparadha, and Rituviparyaya being responsible for the causation of all types of
diseases, which includes ophthalmic problem too3. To overcome these three factors
Acharyas mentioned specific Aahara, Oushadha, and Viharas. In Ayurvedic classics we find
the concept of Chakshushya & many food items, drugs and therapeutic procedures are
explained which are said to improve or enhance the visual acuity as well as improve the
health of the eye. Clinical features related to visual disturbances are seen only in
Drishtigata Rogas. Hence all cases of visual disturbances can be correlated under the broad
heading of Timira – Kacha - Linganasha complex. The part of clinical feature of Timira (First
& Second Patala) can be correlated with most important refractive error i.e. Myopia.
According to Vagbhatta, all efforts should be made to strengthen the eyes by
resorting to Nasya, Anjana, Tarpana etc. for once the vision is lost the different kinds of
things of the world will all become of one kind- that of darkness. Good numbers of Nasya
Yogas are described for Timira because nose is the gateway of drug administration in
Urdhwajatrugata rogas. Nasya is the only procedure which directly influences all Indriyas.
Abhijit Taila is indicated in Timira as Nasya which is quoted by Chakradatta. Considering
the above factors the present study was planned to evaluate the effect of Abhijita Taila
Nasya in Prathama Patalagata Timira (simple Myopia).
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183 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Ayurvedic Review on Timira
The clinical features of Timira are based on involvement of Patalas & vitiation of
Doshas. So the treatment of the Timira depends upon the stage and dominance of particular
Doshas. For which Local & systemic management has described by Acharyas.
Clinical features related to visual disturbances are seeing only in Drishtigata Rogas.
Hence all cases of visual disturbances can be correlated under the broad heading of Timira -
Kacha - Linganasha complex. The clinical feature of Timira (Prathama Patala) can be
correlated with most important refractive error i.e. Myopia. The only symptom produced
when the Doshas are vitiated in the first Patala is Avyakta Darshana4. The patient is not able
to appreciate the exact nature of the object and there is slight blurring of vision. Only one
clinical feature of the Prathama Patala has been described by Acharya Vagbhatta explains
blurred/indistinct vision, which becomes clear sometimes without any reason.
The progress of the disease Timira has been mentioned in terms of involvement of
successive Patalas5. When the vitiated Doshas invade first Patala, the patient complains of
difficulty in seeing objects distinctly. This is the common complaint of myopia,
hypermetropia, astigmatism and presbyopia. So the Timira of first Patala can be correlated
to refractive errors.
Timira is a disease when the vitiated Doshas are situated in the first and second Patala only.
The disease progresses to Kacha and Linganasha when the Doshas involve third and fourth
Patala respectively. The clinical picture of vitiated Doshas in first and second Patalas, which
are analyzed here, simulates very much with refractive errors including Myopia. Therefore
Prathama Patalagata Timira has been correlated with symptoms of Myopia.
Timira is easily curable when the Doshas are limited to first and second Patala; it
gets the stage of chronicity and becomes Yapya by the Dushti of third Patala. Timira attains
the incurability when the Doshas reach fourth Patala wherein surgical intervention is
advocated in case of Kaphaja Linganasha. Therefore Prathama Patalagata Timira has been
taken for study which is Sadhya Vyadhi6.
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184 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
CHIKITSA OF TIMIRA
Oleation, Blood Letting, Virechana, Nasya, Anjana, Murdha Basti, Basti, Tarpana, Lepa and
Seka – these therapies administered many times, suitable to the Doshas is the mode of
treatment7. The treatment of the Timira depends upon the stage and dominance of
particular Dosha. In early stage of Timira, when the symptoms of the vitiated Doshas have
just manifested but have not involved the whole eye, these should be treated by Anjana,
Nasya and other purification measures.
Karmukata of Nasya
Acharya Vagbhata has stated “nasa hi shirasodwaram” ie. Nose is the easiest and
nearest opening to convey the potency of medicines to the cranial cavity. He was the first
person to narrate the mode of action of drugs by Nasya Karma. The drugs administered
reach the Shringataka Marma and spread through the opening of Shiras, eye, ear, throat etc.
and to the head. 8 The Sleshmala Kala of the Nasa extending from Nasaguha to Gala
Pradesha is highly vascular. It has a good absorbing surface, due to its high vascularity the
drug is mainly absorbed through capillaries. These capillaries join to the venules, which
anatomise each other to form plexus masked over the middle and inferior conchi. Some of
these venules open into sphenopalatine veins, others join facial vein. Some end in
ophthalmic vein and few communicate with the Shiras and thus are drained into the
systemic circulation. Blood brain barriers are highly permeable for lipid substances and so
the Sneha Dravyas are easily absorbed and these substances pass and exert their actions.
Lipids provide energy to the nervous tissue. It is cost effective, safe, quick, acting, very easy
to administrate, still definitely efficacious in maintaining health.
Mechanism of production of Myopia: Axial Myopia results from increase in anterio –
posterior length of the eyeball. It is the commonest form. Curvatural Myopia occurs due to
increased curvature of the cornea, lens or both. Index Myopia results from the increase in
the refractive index of crystalline lens associated with nuclear sclerosis. Positional Myopia
is produced by anterior placement of crystalline lens in the eye. Myopia due to excessive
accommodation occurs in patients with spasm of accommodation. 9
Signs & Symptoms of Myopia:
International Journal of AYUSH; 2020: 9 (4); 181-193
185 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Poor vision for distance (short-sightedness) is the main symptom of myopia. Asthenopic
symptoms may occur in patients with small degree of myopia. Half shutting of the eyes may
be complained by parents of the child. The child does so to achieve the greater clarity of
stenopaeic vision. The myopic eyes typically are large and somewhat prominent. Anterior
chamber is slightly deeper than normal. Pupils are somewhat large and a bit sluggishly
reacting. Fundus is normal; rarely temporal myopic crescent may be seen. Simple myopia
usually occurs between 5 and 10 years of age and it keeps on increasing till about 18–20
years of age at a rate of about –0.5 ± 0.30 every year. In simple myopia, usually the error is
low to moderate that usually does not exceed –6D. People with Myopia can be classified
those with low to moderate Myopia (referred to as "simple" or "school" Myopia, 0 to -6
Dioptres) and those with high or pathological Myopia (greater than -6 Dioptres). 10
Drug Review
Abhijita Taila: Abhijita Taila Nasya helps in clearing the eyesight and alleviates Timira. 11
This Taila has been suggested by the great Sage Nimi in Timira stating that it restores
vision even to the blind. 12 So the Study has been selected for Nasya purpose as Abhijita
Taila is indicated in Timira for Nasya Karma.
Detailed description of each drug of Abhijita-Taila:
(1) Amalaki - Botanical name is Emblica officinalis and family is Euphorbiaceae. Synonyms
are Vayasya, Vrishya, Dhatriphala, Amalaka, Amritaphala, and Tishyaphal. Classification is of
drug Kushtaghna, Virechanopaga, Kasahara, Jvarahara, Vayahsthapana (Ch). Parushakadi,
Mustadi, Triphala, Amalakyadi (Su). Rasa is Pancha Rasa (Alavana), Gunas are Guru, Ruksha,
Sheeta, Veerya is Sheeta and Vipaka is Madhura. Doshaghnata is Tridosha Shamaka. Karma
is Chakshushya, Rasayana, Dahaprashamana, Vrishya and Vajikara. Chemical constituents
are Vitamin-C, Carotene, Nicotinic acid, D-fructose, myoinositol and D-galacturonic acid.
Pharmacological actions are immunomodulator, anti-inflammatory, antimicrobial, and
antioxidant. (Database, Vol-3)
(2) Yashtimadhu - Botanical name is Glycyrrhiza glabra and Family is Fabaceae. Synonyms
are Yashtimadhu, Yashti, Madhuyashtika, Madhuka, Kleetaka, Yashtyahva. A part used is
root. Rasa is Madhura, Guna are Guru, Snigdha. Veerya is Sheeta and Vipaka is Madhura.
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186 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Doshaghnata is Vatapittashamaka and Rogaghnata in Netraroga, Vranashotha, Khalitya.
Karmas are Chakshushya, Dahashamaka, Keshya, Vedanasthapana, Medhya, Mridurechana,
Jeevaniya, Rasayana, Balya. Chemical Constituents are Glycyrrhizine, Prenylated Biaurone,
Licoagrone, Quercetin, Kaempferol. Pharmacological activities are Smooth muscle
depressant, antimicrobial and anti-oxidant. (Database, Vol-3)
(3) Tila taila - Botanical name is Sesamum indicum and Family is Pedaliaceae. Part used
are seed oil. Rasa is Madhura and Gunas are Guru, Snigdha, Sukshma, Vyavayi, Vishada. Virya
is Ushna and Vipaka is Madhura. Doshaghnata is Vata -Kapha Shamaka. Rogaghnata are
Vatarogahara, Balya, Brimhana, Vishodhaka, Twachya, Keshya, Vedana Stapana. Karma is
Balya, Sthairyakara, Brimhana, Deepana, Shula Prashamana, Bastikarmartha- Pathya and
Srotoshodhaka. Chemical composition is saturated fatty acid is Palmitic acid: 7.8 - 9.4%.
Unsaturated fatty acids are Linoleic acid: 37 – 48%, Oleic acid: 35 – 49%, Lignans,
Sesamolin, Sesamol, Sesamolin, betasitosterol, and phospholipids. Pharmacodynamics: Its
high stability makes it a desirable vehicle for medicine. Tila is a good source of proteins,
carbohydrates, calcium, phosphorous, Vitamin A, B and C and it also contains sisamin and
sisamal.
(4) Go-Dugdha - Rasa is Madhura, Gunas are Guru and Snigdha. Virya is Sheeta, Vipaka is
Madhura and Doshaghnata is Vata-Pitta Shamaka. Karmas are Balya, Brimhana, Rasayana,
Sandhanakara, Asthapana, Vayah- sthpana, Ojovardhaka and Jivaniya.Composition of milk:
Water : 87.3%, Milk fat : 3.9% , Solids- not fat : 8.8% ,Protein : 3.25% , Lactose : 4.6% ,
Minerals : 0.65% - Ca, P, Mg, K, Na, Zn, CO, Vitamins : A, C, D, thiamine and riboflavin.
Materials and Methods: To evaluate the effect of Abhijita Taila Nasya in simple myopia. To
evaluate the effect of Murcchita Tila Taila Nasya in simle myopia. To compare the effects of
the above two groups to enhance the quantum of relief to the patients of Prathama
Patalagata Timira (simple Myopia).
Source of Data: The patients with signs and symptoms of Prathama Patalagata Timira
were selected from OPD and IPD of Shalakya Tantra department of S. D. M. College of
Ayurveda, Hassan. The patients were examined in detail as per special Performa which
includes both Ayurvedic and modern methods of examination of patients. They were
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187 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
further subjected to criteria of inclusion and exclusion and other investigations to reach the
final diagnosis.
Criteria for Diagnosis: Based on the chief complaints i.e distant blurred vision- Snellen’s
chart reading, Near vision chart reading, Retinoscopy, Slit lamp examination to rule out any
diseases in anterior chamber, Fundus examination with cycloplegic agents to exclude
retinal and macular diseases were done.
Inclusion Criteria: Patients having -0.25D to -5D of vision were taken for study. Patients
aged between 8 to 40 years. Those fit for Nasya. Exclusion Criteria: Dwitiya, Trutiya and
Chaturtha Patalagata Timira, high myopia or progressive myopia, congenital myopia,
myopia with systemic diseases like T.B., Hypertension and diabetics. Myopic patients more
than -5D of vision, hypermetropia and presbyopia
Laboratory Investigation: Blood routine and random blood sugar was done.
Sampling method and Research Design: 40 Patients were randomly selected on the basis
of signs and symptoms of Prathama Patalagata Timira and Myopia. They were grouped
into the following two groups, each comprising of 20 patients. The 20 patients of this group
were administered with 8 drops of Abhijita Taila in each nostril for 7 days once in the
morning in empty stomach. The 20 patients of this group were administered with 8 drops
of Murcchita Tila Taila in each nostril for 7 days once in the morning in empty stomach.
Both the groups were followed for a period of two months with an interval of fifteen days
after completion of treatment.
Method of preparation Abhijita Taila: One litre of Murcchita Tila Taila is taken. To this
250gms of Kalka of Yastimadhu and two litres each of Amalaki Swarasa and Go Ksheera is
added. Oil is prepared as per Taila Paka Vidhi.
Method of preparation Murcchita Tila Taila: Manjistha 125gm, Haridra 30gm, Lodhra
30gm, Musta 30gm, Amalaki 30 gm, Haritaki 30gm, Bibhitaki 30gm, Tila Taila 2 litres, water
8 litres. Two litres of Tila Taila is heated over Mandagni till the foam and sound is subsided.
Then above mentioned drugs are made into Kalka and 8 litres of water is added and heated
till the Taila Siddha Lakshanas are seen. 13
International Journal of AYUSH; 2020: 9 (4); 181-193
188 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Observation: Total 21 patients were registered in group A, among them 20 patients
completed the treatment and 01 patients was drop out. In group B, 20 patients completed
the treatment with 01 drop out, out of 21 registered patients. Hence, the total number of
patients registered in the present study was 42, so observation of 42 patients and results of
40 patients are given. It was found that maximum number of patients i.e. 38.09% belonged
to age group of 21-25 years, followed by 33.3 % patients belonged to 16-20 years &21.42
% belong to 26-30 age group and 7.14 % patients belonged to 31-35 years of age group.
Lastly 2.38% belong to 10-15 years. Out of 42 cases of this series 71.42% were females and
28.57% were males. Religion wise distribution of patients showed that maximum of 73.8%
were Hindus followed by 23.8 % were Christian, 2.38% were Jain. Socio-economic status
wise distribution of patients showed that maximum of 57.14% belonged to middle class,
and 38.09 % belonged to upper- middle class, and 16.6% belonged to lower -middle class
and 4.76% belonged to rich. Habitat wise distribution of patients showed that maximum of
61.9 % were residing in urban area followed and 38.09 % patients were residing in Rural
area. Amongst 42 patients, maximum i.e. 71.42 % patients were educated up to graduate
level, 19.04% patients were post-graduate, 7.14 % patients were higher secondary
education level.2.38 % were secondary education level. On considering the nature of
occupation, it was found that maximum i.e. 92.85% patients were from student category,
while 4.76 % were doing service and 2.38% were labour. None of the patients were farmer
& in other category). 35.71% of patients have maternal and paternal family history and
23.81% of patients had maternal family history and 23.81% of patients had no family
history and 16.6% had paternal significant. Maximum i.e. 42.85 % patients each were found
to be addicted to tea and 19.04% patients were addicted to coffee and 33.3% patients were
not having any addiction. Agni wise distribution of patients indicates that most of the
patients i.e.57.14 % were of Madhyamagni, 26.19 % of patients were of Teekshanagni and
16.6 % were of Mandhagni. In this study majority of the patients i.e. 64.28% had sound
sleep while rest of the 35.71 % patients had disturbed sleep. In this study 40.47% of
patients had a habit of reading for 5-6 hours, followed by 26.19% of patients had a habit of
3-4 hours reading, and 26.19% of patients for 1-2 hours of reading. In this study 88% of
patients had gradual duration, followed by 11.9 % of sudden duration and none of them
had insidious onset. 28.57% of patients had Chronicity for 1-2 years, followed by 26.19%
International Journal of AYUSH; 2020: 9 (4); 181-193
189 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
of 3 – 5 years, 16.6 % of 6-8 years, followed by 9.52% of 9 – 11 years and 9.52% of
patients had less than one year. In this series 35.7% patients were of Vata- Pittaja Prakriti,
followed by 33.3% patients were of Vata- Kaphaja Prakriti and 30.09% patients were of
Pitta Kaphaja Prakriti. Aharaja Nidana wise distribution have shown 80% of patients
taking excess of Amla Pradhana Aahara, followed by 71.19% of patients have a habit of
consuming excess of lavana Aahara, and 57.14% of patients have a habit of taking excess of
Teekshna Aahara, and 45.23% of patients have a habit of consuming excess of Ushna
Aahara in their routine life. Manasika Nidana wise distribution have shown 47.62% of
patients were reported to indulged in Krodha, 45.2% of patients suffered from Shoka,
38.09% of patients indulged in Rodana. Viharaja Nidana wise distribution have shown 75%
of patients have a habit of excessive gazing at near objects, followed by 52.3% of
Ratrijagarana ,45.2 % of patients have a habit of exposure to hot, 19% of Diwaswapna and
16.6 % of patients have a habit of excessive exposure to hot and 9.52% of patients have
Vegadharana. Symptom wise distribution have shown that all 100% of patients have
Avyakta Darshana, followed by 80.93% had headache, 88.1% had eye strain and 45.24%
had watering from eye. 80.93% of patients had visual acuity between 6/6 to 6/9, followed
by 40.47% of 6/12 to 6/18, 40.47% of 6/24 to 6/36 and 40.47 % of patients had 6/60 and
less visual acuity.
Results
Avyakta Darshana: It was found that the mean score of Avyakta Darshana from 2.1 to 1.4,
with 33.33 % mean reduction in ATN Group which is statistically highly significant as the
‘p’ value is <0.001, While MTTN Group showed a mean reduction of 27.02 % in Avyakta
Darshana which was statistically significant with the ‘p’value <0.01. Head ache: Mean
score of headache is reduced from 1.6 to 0.75, with 57.57% of mean reduction in ATN
Group, which is statistically significant at the level of ‘p’ < 0.001; where as in MTTN Group
is statistically significant with 54.5% of mean reduction in head ache showing the ‘p’ value
< 0.001. Eye strain: It was found that the Mean score of eye strain reduced from 2.0 to
0.75; with mean reduction of 37.5% in ATN Group which is statistically significant as the ‘p’
value is < 0.001, While MTTN Group showed a mean reduction of 33.33% in eye strain and
was statistically significant with the ‘p’ value <0.001. Watering of eyes: It was found that
International Journal of AYUSH; 2020: 9 (4); 181-193
190 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
the mean score of watering of eyes reduced from 1.0 to 0.7, with a mean reduction70% in
ATN Group which is statistically significant with a ‘p’ value <0.001, While in MTTN Group
50% of mean reduction in watering of eyes showed which is statistically significant with a
‘p’ value <0.02. Visual acuity of eye: The mean score of visual acuity in right eye reduced
from 3.5 to 2.9, with a mean reduction of 18.30 % in ATN Group which is statistically
significant, as the ‘p’ value is <0.001,While in MTTN Group 13.55 % of mean reduction in
visual acuity by Snellen’s reading which is statistically significant as the ‘p’ value is <0.01
.Visual Acuity of eye with refractive aid: The mean score of visual acuity in right eye with
refractive aid reduced from 2.45 to 2.15 with a mean reduction of 12.24% in ATN Group
which is statistically significant, at the ‘p’ value <0.02,While in MTTN Group it is reduced
from 1.85 to 1.65 with a mean reduction of 10.81% of mean reduction in visual acuity by
Snellen’s reading, which is also statistically significant, at the ‘p’ value < 0.05. Auto
refractometer reading of eye: The mean score of Auto refractometer reading in right eye
is 2.45 to 2.3 with 6.12% reduction in ATN Group which is statistically insignificant, as the
‘p’ value is >0.05, Whereas MTTN Group showed mean score reduced from 1.85 to 1.75,
with 5.4 % of mean reduction in Auto refractometer reading which is also statistically
insignificant, as the ‘p’ value is >0.05
Overall Effect of Therapies: In Abhijita group, 9 patient’s ( 42.8% )showed mild changes
and 8 patient’s ( 38.1%) showed moderate improvement and 3 patient’s ( 14.28%) showed
unchanged, and marked improvement and complete relief was not observed in any patients
among 20 patients. In Murcchita Tila Taila Nasya Group, 11 patients ( 52.38%) showed
mild improvement, 5 patient’s ( 23.81%) showed moderate improvement and 4 patients
(19.04 %) showed unchanged and marked improvement and complete relief was not
observed in any patients among 20 patients. No patient included in the study had
deterioration in symptoms.
Discussion: Simple Myopia affects an accountably large section of the population and
involves very young eyes leading to the defective distant vision and has to wear refractive
aids or should satisfy with limited visual field works. No remedial measures for the
prevention and care of this pathology prevails in the domain of modern ophthalmology;
opening the door to the other systems of medicine to suggest, experiment and contribute
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191 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
the drugs to alleviate or to check the deterioration. Avyakta Darshana or blurring of vision
for distance is a symptom produced due to affliction of first Patala which occurs in Myopia
of low degree. All the patients involved in the present study were between the ages of 8 –
40 years. Majority of the patients (38.09%) belonged to age group of 21-25 years; followed
by 33.3 % patients belonged to 16-20. It is a significant observation that the disease
manifests in teenagers. It is also a proven fact that simple Myopia usually begins in
childhood. Since the eyes continue to grow during childhood, Myopia almost always occurs
before the age of 20 and then gets stable in adulthood. Majority of the patients involved in
this clinical study (92.85%) were students followed by 4.76 % service persons and 2.38%
were labour. This is a significant finding because simple Myopia is prevalent in adolescent
age group. It usually commences at around the age of 5 or 6, begins to increase rapidly
reaching maximum rate of increase at about the age of 13 and reduces its rate until late
teens when it usually stabilizes. This study shows Nasya has an important role to arrest the
progress of refractive error, headache in Myopia, eye strain and Durastha Avyakta
Darshana in both the groups. Abhijita Taila Nasya provided highly significant at P <0.001
relief of 18% in visual acuity, while Murcchita Tila Taila Nasya provided 14% which was
highly significant at P <0.01. Nasya with Abhijita Taila is more effective than Murcchita Tila
Taila in improving Dioptric power. The comparison of the results of both the groups
showed that Abhijita Tila Nasya provided statistically better effect in comparison to
Murcchita Tila Taila Nasya Group in all the signs and symptoms.
Probable mode of action of Abhijita Taila Nasya in Timira: The disease Timira is
Tridoshaja and so compound drug employed should also have Tridoshaghna qualities, so
that it can counteract vitiated Doshas to disintegrate the pathophysiology of the disease. In
this study, Abhijita Taila was used for the Nasya Karma. Clinical feature of Timira, Kacha,
Linganasha complex can be correlated with Myopia and its complications, the most
important refractive error. In Abhijita Taila, Tila taila is used as a media or vehicle & by
virtue of properties like Vyavayi, Sukshma, Sara, it can reach to every minute channel.
Administration of drug through nose will stimulate the Shringataka Marma. Spread of
Drugs to deeper structure of eye. Through Roopavaha Siras take place. Abhijita Taila which
is having Chakshushya property activates Chakshurvisheshika Alochaka Pitta and
Buddirvisheshika Alochaka Pitta. This will increase power of Drishti Nadi (optic nerve) and
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192 DIVYA STUVERT AND ASHWINI.M.J ROLE OF ABHIJITA TAILA NASYA IN THE MANAGEMENT OF PRATHAMA PATALAGATA TIMIRA
Activation of Visual Centre in Brain (Occipital Lobe) which helps in overall improvement in
visual status of myopia.
Conclusion: Myopia, a form of refractive error, is a highly significant problem which
prevents the individual from seeing distant objects clearly. Nasya is an effective procedure
for Timira and provides Vatashamaka properties and nourishment to the eyes and
improves visual acuity. In the present study, Abhijitha Taila Nasya was taken to evaluate
the effect in Myopia. In Abhijita Taila Nasya group, complete remission and marked relief
was not observed in any patient (0.00%), 9 patient’s ( 42.8% )showed mild changes and 8
patient’s ( 38.1%) showed moderate improvement and 3 patient’s ( 14.28%) showed
unchanged, among 20 patients. In Murcchita Tila Taila Nasya Group, complete remission
and marked relief was not observed in any patient (0.00%), 11 patients ( 52.38%) showed
mild improvement, 5 patient’s ( 23.81%) showed moderate improvement and 4 patients
(19.04 %) showed unchanged among 20 patients. No patient included in the study had
deterioration in symptoms. Abhijita Taila Nasya can be used in Pratimarsha Nasya for long
run in all Refractive error, Headache, Netrayasa, Netrasrava. Since the study has shown
interesting results, it is recommended that the study should be carried out in large number
of patients with longer duration to evaluate and analyze the results.
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